Unknown Individual – Athletic Trainer, NPI 1396179305

Unknown Individual is a healthcare provider. based in Orem, Utah. specializing in Athletic Trainer. They hold a License No. 8400445-4810 (UT). The NPI Number for Unknown Individual is 1396179305

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396179305
Phone
(419) 283-9210
Address
PO BOX 571
Deactivation Date
25 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 571

    OREM, UT 840590571

    Phone: (419) 283-9210

    Type: Mailing

  • 147 W 400 N

    OREM, UT 840574658

    Phone: (419) 283-9210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84059)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1396179305?
NPI 1396179305 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Athletic Trainer. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Orem?
Unknown Individual currently maps to Orem, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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